Verbrugge Lois M, Juarez Lucia
Institute of Gerontology, University of Michigan, Ann Arbor, MI 48109, USA.
Arthritis Rheum. 2006 Feb 15;55(1):102-13. doi: 10.1002/art.21694.
Arthritis is the most common chronic condition and the most common cause of disability among older US adults. We studied social participation, disabilities in many life domains, accommodations used (buffers), and accommodations needed (barriers) for US adults with arthritis disability compared with adults with disability from other conditions.
The data source is the National Health Interview Survey Disability Supplement Phase Two. Arthritis-disabled individuals named arthritis as the main cause of > or =1 disabilities. Other-disabled individuals named only other conditions as causes of their disabilities. We compared outcomes for the groups, taking sample weights and complex variances into account.
Arthritis-disabled individuals get out and about less often than other-disabled individuals, but they manage to maintain active social ties. They have more disabilities of all types (personal care, household management, physical tasks, transportation, home, work), and the disabilities often cause fatigue, long task time, and pain. Despite this, arthritis-disabled individuals use less personal assistance than other-disabled individuals; they do use more equipment assistance. Arthritis-disabled individuals report more barriers in getting around outside their home and at their workplace.
The distinctive profile of arthritis disability includes extensive and uncomfortable disabilities, yet there are active management strategies to handle these disabilities. Problems away from home and at work should inspire engineers and planners to improve public access and equipment for persons with this high-prevalence disability.
关节炎是美国老年人中最常见的慢性病,也是导致残疾的最常见原因。我们研究了患有关节炎残疾的美国成年人与患有其他疾病残疾的成年人相比,其社会参与情况、在许多生活领域的残疾状况、所使用的辅助设施(缓冲因素)以及所需的辅助设施(障碍因素)。
数据来源是《美国国家健康访谈调查残疾补充问卷第二阶段》。患有关节炎残疾的个体将关节炎列为导致一种或多种残疾的主要原因。患有其他疾病残疾的个体仅将其他疾病列为其残疾原因。我们在考虑样本权重和复杂方差的情况下,比较了两组的结果。
患有关节炎残疾的个体比患有其他疾病残疾的个体外出活动的频率更低,但他们设法维持活跃的社会关系。他们在各类残疾(个人护理、家务管理、体力任务、交通、家庭、工作)方面存在更多问题,这些残疾常常导致疲劳、完成任务时间长和疼痛。尽管如此,患有关节炎残疾的个体比患有其他疾病残疾的个体使用的个人协助更少;他们确实使用了更多的设备协助。患有关节炎残疾的个体报告称,在离家外出和在工作场所行动时遇到的障碍更多。
关节炎残疾的独特特征包括广泛且令人不适的残疾状况,但仍有积极的管理策略来应对这些残疾。家庭以外和工作场所的问题应促使工程师和规划者改善针对这种高患病率残疾人群的公共设施和设备。